HomeMy WebLinkAboutBuilding Permit Application 4 �20�,011.�DD
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
• III
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
Address: 10600 S Ocean Drive#203,Jensen Beach FL 34997
Legal Description: Oceana South Condominium II Unit203 And Undiv Share In Common Elements(Or 3863-1218)
Property Tax ID#: 4511 517 0020 000 4 Lot No.
Site Plan Name: Block No.
Project Name: Giglio
Setbacks Front Back: Right Side: Left Side:
i lona wor oe e orme under is perms —check a appy:
HVAC F]Gas Tank Gas Piping Shutters F�Windows/Doors
Electric 0 Plumbing U Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
q g
Cost of Construction:$_ 7 /C� Utilities: Sewer Septic Building Height:
Name Vincent&Marie Giglio Name: Edward J.Heritage
Address:7887 Exeter Blvd E Company: Folding Shutter Corporation
City: Tamarac State:FL Address: 7089 He #'Dace
Zip Code: 33321 Fax: City: West Palm-B State:FL
Phone No.954 6484796 Zip Code: 33413 Fax: 561 640 8204
E-Mail: Phone No. 561 683 4811-
Fill in fee simple Title Holder on next page(if different E-Mail: lnfo@FoldingShutters.Com
from the Owner listed above) State or County License: SCC131151041
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: !Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit-holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency rrview:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result In your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender,or an attorney before
commencing work or recording our Notice of Commencement.
S
_Signature of Owner) Signature of Cont s er
STATE OF COUNTY OFORIDA rA(YK STATE OF FLORiDAP�. 4c1
COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ^44 day of Zro L)e 20 16—oby thisj? day of Ug a " _ 20 16 by
Edward J.Heritage Edward J.Heritage
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida} (Signature of Notary Publlc State of Florida}
Personally Known x OR Produced Identification Personally Known X ,;,OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. rr 150it0 (Seal) Commission No. (Seal)
PAMELA A.EVANS PAMELA A.EVANS
Revised 07/15/2014 STATE OF FLORIDA WSTATE OF FLCfRIDA
Comm#FF150967 Comm#FF150967
flaw F%j Expires 101'
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS